改良强制运动结合毫火针对脑卒中恢复期患者偏瘫上肢功能及肌电F波的影响

Effect of Modified Forced Movement Combined with Filiform Fire Needle on Function and Electromyographic F-Wave in Upper Limbs with Hemiplegia in Patients During Convalescence of Ischemic Stroke

目的:观察改良强制运动结合毫火针对脑卒中恢复期上肢偏瘫患者上肢运动功能及肌电F波相关参数的改善作用。方法:选取脑卒中恢复期上肢偏瘫患者50例,按随机数字表法分为观察组和对照组各25例。对照组给予改良强制运动训练,观察组给予改良强制运动训练结合毫火针治疗。比较2组治疗前后的患侧上肢wo1f运动功能评价量表(WMFT)、Fugl-Meyer运动功能评估量表[FMA(上肢)]评分、Ashworth肌张力评分和肌电F波传导速度及波形特点。结果:治疗前,2组WMFT、FMA评分比较,差异无统计学意义(P>0.05)。治疗后,2组WMFT、FMA评分均较治疗前增加(P<0.05),且观察组WMFT、FMA评分均高于对照组(P<0.05)。治疗后,观察组Ashworth肌张力评分和F波传导速度较治疗前降低,F波出现率较治疗前增加,且观察组各项指标改善情况均优于对照组,差异均有统计学意义(P<0.05)。结论:改良强制运动训练结合毫火针疗法治疗脑卒中恢复期偏瘫患者,有助于促进偏瘫上肢运动功能的康复,改善肌张力和肌电F波相关参数。

Objective:To observe the improving effect of modified forced movement combined with filiform fire needle on related paraments of motor function and electromyographic F-wave of upper limbs in patients with upper limbs hemiplegia during convalescence of ischemic stroke.Methods:A total of 50 cases of patients with upper limbs hemiplegia during convalescence of ischemic stroke were divided into the observation group and the control group according to the random number table method,25 cases in each group.The control group was given the training of modified forced movement,and the observation group was additionally treated with filiform fire needle based on the treatment of the control group.Before and after treatment,the scores of Wolf Motor Function Test(WMFT),Fugl-Meyer Assessment of upper limbs(FMA-upper limbs)and Ashworth muscle tension,as well as conduction velocity and wave characteristic of EMG F-wave of the upper limbs on the affected side were compared between the two groups.Results:Before treatment,there was no significant difference being found in the comparison of WMFT and FMA between the two groups(P>0.05).After treatment,the scores of WMFT and FMA in the two groups were increased when compared with those before treatment(P<0.05),and the two scores in the observation group were higher than those in the control group(P<0.05).After treatment,the score of Ashworth muscle tension and the conduction velocity of F-wave in the observation group were decreased when compared with those before treatment;the occurrence rate of F-wave was increased when compared with that before treatment;the improvement of each index in the observation group was better than that in the control group,differences being significant(P<0.05).Conclusion:The therapy of modified forced movement combined with filiform fire needle in treating hemiplegia during the convalescence of ischemic stroke,is conductive to promoting the recovery of motor function of upper limbs with hemiplegia,and improving related parameters of muscle tension and electromyographic F-wave.